NCG050160_Renewal COC Request_20180626 10:37:58 AM

JI
Environmental
Quality
Permit COC
NCG050160
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the ODC, not
COC No.
NCG030000) MUST BEGIN WITH CARTAL "NCG'
Name of Person
Thomas Bramucci
Obtaining COC*
First and Last Name
Phone Number* 919-934-5144
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail address to whom to send the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
M aste r Ge ne ral
NCG050000
Permit No.
COC No.
NCG050160
Permittee
Penn Compression Moulding Inc
Facility Name
Penn Compression Moulding Inc
Address
309 Components Dr
City
Smithfield
County
Johnston
Waterbody
Buffalo Creek
Classification
QNSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
1 hereby request a copy of the Certificate of Coverage (COC) entered above. I understand that the COC e-mailed as a
result of this request will serve as the Permittee's record of renewed coverage under the General Permit, and that this
record must be maintained with the Permittee's NPDES Stormwater Permit records.
Signature *
APAd fiuICIleld
Date * 06/26/2018